Calico Pediatric Therapy Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1396 Issued in ID

Legal business name

CALICO PEDIATRIC THERAPY CENTER, LLC

Practice address

1650 N Hilton St
Boise, ID 83706-1734

Phone

(208) 850-5804

NPI assigned

Nov 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristin K Negilski, MS CCC-SLP

Title

Owner

Phone

(208) 850-5804

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1104102375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 WILLOW CREEK RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836162505",
            "telephone_number": "208-850-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N HILTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061734",
            "telephone_number": "208-850-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALICO PEDIATRIC THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "NEGILSKI",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-850-5804",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Caldwell, ACMHC, PCLC, LCPC
• Ryan Theodore Caldwell
• Jenna Calhoun, DPT
• Robert F. Calhoun, PHD
• William W Calhoun
• Colin Calico, CRNA
• Larry Duane Calkins
• Nathan S Call, CRNA
• Karen M Callagy, PA-C
• Kathryn Willis Callahan, MS, RDN, LD

• All providers in Boise, ID
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.